Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
BMC Neurol. 2012 Jul 28;12:62. doi: 10.1186/1471-2377-12-62.
A recent meta-analysis on the UCHL1 S18Y variant and Parkinson's disease (PD) showed a significant inverse association between the Y allele and PD; the individual studies included in that meta-analysis, however, have produced conflicting results. We examined the relationship between UCHL1 S18Y single nucleotide polymorphism (SNP) and sporadic PD in Japan.
Included were 229 cases within 6 years of onset of PD, defined according to the UK PD Society Brain Bank clinical diagnostic criteria. Controls were 357 inpatients and outpatients without neurodegenerative disease. Adjustment was made for sex, age, region of residence, smoking, and caffeine intake.
Compared with subjects with the CC or CA genotype of UCHL1 S18Y SNP, those with the AA genotype had a significantly increased risk of sporadic PD: the adjusted OR was 1.57 (95 % CI: 1.06 - 2.31). Compared with subjects with the CC or CA genotype of UCHL1 S18Y and the CC or CT genotype of SNCA SNP rs356220, those with the AA genotype of UCHL1 S18Y and the TT genotype of SNP rs356220 had a significantly increased risk of sporadic PD; the interaction, however, was not significant. Our previous investigation found significant inverse relationships between smoking and caffeine intake and PD in this population. There were no significant interactions between UCHL1 S18Y and smoking or caffeine intake affecting sporadic PD.
This study reveals that the UCHL1 S18Y variant is a risk factor for sporadic PD. We could not find evidence for interactions affecting sporadic PD between UCHL1 S18Y and SNCA SNP rs356220, smoking, or caffeine intake.
最近一项关于 UCHL1 S18Y 变异与帕金森病(PD)的荟萃分析显示,Y 等位基因与 PD 之间呈显著负相关;然而,纳入该荟萃分析的个体研究结果存在冲突。我们在日本人群中研究了 UCHL1 S18Y 单核苷酸多态性(SNP)与散发性 PD 的关系。
纳入 229 例发病 6 年内的 PD 患者,按照英国 PD 协会脑库临床诊断标准定义。对照组为 357 例无神经退行性疾病的住院和门诊患者。调整了性别、年龄、居住地区、吸烟和咖啡因摄入。
与 UCHL1 S18Y SNP 的 CC 或 CA 基因型相比,AA 基因型的个体发生散发性 PD 的风险显著增加:调整后的 OR 为 1.57(95 % CI:1.06-2.31)。与 UCHL1 S18Y SNP 的 CC 或 CA 基因型和 SNCA SNP rs356220 的 CC 或 CT 基因型相比,UCHL1 S18Y SNP 的 AA 基因型和 SNP rs356220 的 TT 基因型的个体发生散发性 PD 的风险显著增加;然而,交互作用不显著。我们之前的研究发现,在该人群中,吸烟和咖啡因摄入与 PD 呈显著负相关。UCHL1 S18Y 与吸烟或咖啡因摄入对散发性 PD 的影响之间没有显著的交互作用。
本研究表明 UCHL1 S18Y 变体是散发性 PD 的危险因素。我们没有发现 UCHL1 S18Y 与 SNCA SNP rs356220、吸烟或咖啡因摄入对散发性 PD 的影响之间存在交互作用的证据。